Individual
MRS. SUSAN BETH HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
347 MOUNT PLEASANT AVE STE 205, THE DERMATOLOGY GROUP, PC, WEST ORANGE, NJ 07052-2749
(973) 571-2121
(973) 498-0512
Mailing address
347 MOUNT PLEASANT AVE STE 205, THE DERMATOLOGY GROUP, PC, WEST ORANGE, NJ 07052-2749
(973) 571-2121
(973) 498-0512
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
009397-1
NY
363A00000X
Physician Assistant
Primary
25MP001100500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3595059
OXFORD
—
Enumeration date
08/15/2006
Last updated
08/05/2013
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